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Organization
TAYLORED THERAPY LLC
Active
Organization
TAYLORED THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
2517 E MOUNT HOPE AVE, LANSING, MI 48910-1931
(517) 505-6233
(866) 776-7556
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(866) 776-7556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801089603
MI
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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